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General NPI Number Information
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NPI Number | 1942309612
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Entity Type | Organization
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Legal Business Name | REHABILITATION AND PAIN CENTER PA
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3726 DACOMA ST
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City | HOUSTON
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State | TX
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Zip | 77092-8906
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Country | US
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Telephone | 713-812-1612
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Fax | 713-586-3150
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Provider Business Mailing Address
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Address Line | PO BOX 73467
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City | HOUSTON
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State | TX
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Zip | 77273-3467
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Country | US
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Telephone | 173-816-1612
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Fax | 281-586-3150
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Authorized Official
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Title or Position | PHYSICAL MEDICINE AND PAIN MNGT
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Name | JOSEPH DANG
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Credential | MD
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Telephone | 713-812-1616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | J9485
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License Number State | TX
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